血糖监测临床应用现状与展望

Current situation and prospect of clinical application of blood glucose monitoring

临床血糖监测用于评估糖尿病患者的糖代谢紊乱程度,反映降糖方案的疗效并同时指导降糖方案的调整。血糖监测技术日新月异,从频繁指尖采血到皮下持续血糖监测;从有创到微创,并向无创发展。与此同时,血糖监测信息从单纯数值判断,到可视化图表,到趋势判断。不同于静脉血浆糖测定,血糖监测结果始终在准确度和精确度方面存在考量。更新、更精准的非侵入性血糖监测设备令人拭目以待。

Blood glucose monitoring is clinically used to assess the degree of glucose metabolism disorders in diabetic patients, reflect the efficacy of the antidiabetic medications and to guide the adjustment of the hypoglycemic regimens. The technology of blood glucose monitoring is changing with each passing day, from frequently fingertip blood sampling to subcutaneous continuous blood glucose monitoring;from invasive to minimally invasive, and non-invasive development. At the same time, blood glucose monitoring information is analyzed from simple numerical values, to visual charts, to trend judgments. Unlike venous plasma glucose measurements, the results of blood glucose monitoring are always considered in terms of accuracy and precision. Newer, more accurate non-invasive blood glucose monitoring devices are looking forward to being applied soon.